CMS ATI Pharmacology Final –
Actual Exam 2025/2026
Complete Questions & Verified
Answers
A client has a new prescription for spironolactone (Aldactone).
Which of the following laboratory values should the nurse
recognize as a reason to withhold the morning dose of the
medication and notify the provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L - b. Serum potassium 5.2 mEq/L
A nurse is caring for a client who is prescribed daily doses of both
digoxin (Lanoxin) and furosemide (Lasix). The client's potassium
level is 3.2 mEq/L. For which of the following medication
interaction is the client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
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d. Sub-therapeutic levels of digoxin - b. Toxic levels of digoxin
Propranolol (Inderal) is contraindicated for a client who has
which of the following conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia - a. Asthma
A nurse is reinforcing teaching for a client who has a prescription
for verapamil (Calan). Which of the following statements by the
clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the
medication causes constipation."
b. "I should eliminate grapefruit juice from my diet while taking
verapamil."
c. "I should decrease the amount of calcium in my diet while taking
the medication."
d. I should take the medication with food if it causes an upset
stomach." - c. "I should decrease the amount of calcium in my
diet while taking the medication."
A nurse is caring for a client with prescription for nifedipine
(Procardia) to treat angina pectoris. The nurse should plan to
monitor the client for which of the following findings?
a. Weight loss
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b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention - b. Reflex tachycardia
A nurse is caring for a client on a medical unit who takes regular
doses of propranolol (Inderal) for hypertension. Before
administering the client's morning dose of propranolol, which of
the following should the nurse plan to monitor?
(SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes - b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed
digoxin (Lanoxin). Which of the following should the nurse instruct
the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
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d. Rash
e. Diplopia - a. Fatigue
c. Anorexia
e. Diplopia
A nurse is caring for a client who is prescribed isosorbide
mononitrate (Imdur) for chronic stable angina. The nurse should
plan to monitor the client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache - d. Headache
A nurse is obtaining a medication history from a client who is to
start a new prescription for warfarin (Coumadin). Which of the
following over-the-counter medications should the nurse instruct
the client to avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin - d. Aspirin